Authors: Andre Chou, Ella Harrison-Hansley / Editor: Thomas MacMahon / Reviewer: Sarah Gooding / Codes: DC8, DP1, DP2, MuP4, SLO5 / Published: 11/03/2024
KC is a 15-month-old girl who arrives in your Emergency Department (ED) with her mother. For the past 2 days her mother has noticed a rash on both her legs spreading toward her trunk.
On examination, it is papular, firm and non-blanching. Aside from a mild fever, KC appears well. She has no significant medical history and her immunisations are up to date. Early stages of chicken pox are suspected so they are discharged with antipyretics, calamine and a leaflet on childhood fevers.
The next morning, they return because her legs and feet are puffy. On examination, KC still looks well, but now has bilateral ankle and foot oedema. The rash has not spread any further (see picture). Her chest is clear and abdomen is soft to palpation. Her ears and tonsils are red. She is walking but her legs are sore.
Her observations are within normal limits for her age.
Routine blood tests show normal renal function and full blood count, with a CRP of 24 (normal <5). Her urine dipstick shows +1 leucocytes and blood.
37 responses
Good summary of HSP
Useful quick revision
Really useful revision
Great case and easy to follow
This is very useful.
good case study
short , concentrating , refreshing
Good Information
Quick and easy learning
quick reCAP for HSP
Good revision module
Nice Topic
Nice revision
Great. Thanks.
Good review
Interesting case with good photo (important for derm presentations)
very nice revision
Focused revision on HSP
This was useful and highlighted some gaps in my knowledge base. Thank.
Useful review
short and precise
very good case
good case
Very good module
Good for revision of HSP
Concised review for the case
Good recap
Informative yet succinct
informative
Very useful to know that HSP can present with a normal urine dip!
Great Clinical Case
Quick & focused revision for HSP.
Good summary
Informative
Great 👍
great
Brief Summary … thanks